Provider Demographics
NPI:1154497014
Name:COHEN, ALKA VISHNU (DDS MS)
Entity Type:Individual
Prefix:DR
First Name:ALKA
Middle Name:VISHNU
Last Name:COHEN
Suffix:
Gender:F
Credentials:DDS MS
Other - Prefix:DR
Other - First Name:ALKA
Other - Middle Name:VISHNU
Other - Last Name:GIR VADHAVKAR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS MS
Mailing Address - Street 1:8142 COUNTRY VILLAGE DRIVE
Mailing Address - Street 2:SUITE 101
Mailing Address - City:CORDOVA
Mailing Address - State:TN
Mailing Address - Zip Code:38016
Mailing Address - Country:US
Mailing Address - Phone:901-756-4447
Mailing Address - Fax:901-756-8784
Practice Address - Street 1:8142 COUNTRY VILLAGE DRIVE
Practice Address - Street 2:SUITE 101
Practice Address - City:CORDOVA
Practice Address - State:TN
Practice Address - Zip Code:38016
Practice Address - Country:US
Practice Address - Phone:901-756-4447
Practice Address - Fax:901-756-8784
Is Sole Proprietor?:No
Enumeration Date:2006-11-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNTNDS47491223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3207374Medicaid